Stroke Risk Assessment

Am I at risk for stroke?

There are many factors that can put you or a loved one at risk of having a stroke. The stroke risk assessment is a simple way to evaluate your lifestyle and determine any changes you can make to prevent a stroke from occurring. Please select Yes or No for each question.

I am a man over 45 years old or a woman over 55 years old.

Yes

No

My father or brother had a heart attack before age 55 or my mother or sister had one before age 65.

Yes

No

I have coronary artery disease, or have had a heart attack.

Yes

No

I have had a stroke.

Yes

No

I have an abnormal heartbeat.

Yes

No

I smoke, or live or work with people who smoke every day.

Yes

No

I do not know my total cholesterol or HDL levels

Yes

No

My total cholesterol level is 240 mg/dL or higher.

Yes

No

My HDL (good) cholesterol level is less than 40 mg/dL if I am a man or less than 50 mg/dL if I am a woman.

Yes

No

I do not know my blood pressure level.

Yes

No

My blood pressure is 140/90 mm Hg or higher or I have been told that my blood pressure is too high.

Yes

No

I accumulate less than 30 minutes of physical activity on most days of the week.

Yes

No

I am 20 pounds or more overweight.

Yes

No

I have diabetes or take medicine to control my blood sugar.

Yes

No

Please total each column and place numbers here. TOTAL:

Yes

No

If you have two (2) or more “Yes” answers, please see a healthcare professional and determine what you can do to lower your risk of stroke.

Schedule Appointment Online

If you are having an emergency, call 911 or go to your nearest emergency room. Please do not utilize this scheduling feature for urgent medical situations.

Henry Ford Health System is committed to ensuring our Deaf or hard-of-hearing patients and visitors have equal access to all services. We provide the appropriate auxiliary aids and services, including qualified sign language interpreters, TTYs and other assistive listening devices, at no cost. To request assistance, call 313-916-1896 or email CommunicationAccess@hfhs.org.

If you have traveled to China, Iran, Italy, Japan or South Korea in the last 14 days or been in close contact with someone suspected to have the COVID-19 (Coronavirus), please contact our nurse line @ 313- 874-7500 prior to scheduling.